Intramural Duodenal Hematoma after Transpancreatic Septotomy during ERCP: A Case Report and Literature Review.
10.15279/kpba.2016.21.1.55
- Author:
Jung Gon KIM
1
;
Woo Hyun PAIK
;
Jae Hyung KIM
;
Jong Wook KIM
;
Won Ki BAE
;
Nam Hoon KIM
;
Kyung Ah KIM
;
June Sung LEE
Author Information
1. Department of Internal Medicine, Inje University Ilsan Paik Hospital, College of Medicine Inje University, Goyang, Korea. whpaik@paik.ac.kr
- Publication Type:Case Report
- Keywords:
ERCP;
Adverse event;
Intramural duodenal hematoma;
Transpancreatic septotomy;
Pancreatitis
- MeSH:
Bile Ducts;
Catheterization;
Cholangiopancreatography, Endoscopic Retrograde*;
Duodenum;
Gallstones;
Hematoma*;
Humans;
Needles;
Pancreatitis;
Retrospective Studies;
Shock
- From:Korean Journal of Pancreas and Biliary Tract
2016;21(1):55-60
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Transpancreatic septotomy is known to improve the success rate of selective bile duct cannulation in endoscopic retrograde cholangiopancreatography. Recent retrospective study reported that transpancreatic septotomy is more effective and safer than needle knife sphincterotomy. Herein, we report a case of patient with gallstone pancreatitis who suffered from intramural duodenal hematoma after transpancreatic septotomy that caused obstruction of the duodenum and hypovolemic shock. The intramural hematoma improved after conservative management. The rare adverse event such as intramural duodenal hematoma seems to be considered after transpancreatic septotomy, especially when acute pancreatitis is accompanied.
